Gregg Kevin Johnson in San Diego - Dentist
Gregg Kevin Johnson - NPI 1053494583
Gregg Kevin Johnson is a Dentist in San Diego, California. Gregg Kevin Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregg Kevin Johnson is 1053494583. The last update date is 2007-07-08.
Gregg Kevin Johnson's current location address is 306 Walnut Ave # 334, San Diego, California. You can contact this provider via phone number 6192976720. The mailing address for Gregg Kevin Johnson is 306 Walnut Ave # 334, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Kevin Johnson |
|---|---|
| Address | 306 Walnut Ave # 334, San Diego, California |
| Phone Number | 6192976720 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053494583 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 306 Walnut Ave # 334 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921034978 |
| Phone Number | 6192976720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 43982 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Gregg Kevin Johnson by the Centers for Medicare & Medicaid Services?
The Gregg Kevin Johnson has been issued the NPI (National Provider Identifier) 1053494583 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Gregg Kevin Johnson's physical address?
The Gregg Kevin Johnson is physically located at 306 Walnut Ave # 334, in the city of San Diego, CA, with the postal code 921034978.
What is Gregg Kevin Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregg Kevin Johnson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did the Gregg Kevin Johnson receive its 1053494583?
The Gregg Kevin Johnson was issued its 1053494583 on 2006-10-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Gregg Kevin Johnson's details last updated?
The information pertaining to the Gregg Kevin Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.